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Minimal intervention dentistry for managing dental caries – a review

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Frencken, Jo E., Peters, Mathilde C., Manton, David J., Leal, Soraya C., Gordan, Valeria V., Eden, Ece·2012·International Dental Journal
DOI 10.1111/idj.12007PMC PMC3490231
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Abstract

This publication describes the history of minimal intervention dentistry (MID) for managing dental caries and presents evidence for various carious lesion detection devices, for preventive measures, for restorative and non-restorative therapies as well as for repairing rather than replacing defective restorations. It is a follow-up to the FDI World Dental Federation publication on MID, of 2000. The dental profession currently is faced with an enormous task of how to manage the high burden of consequences of the caries process amongst the world population. If it is to manage carious lesion development and its progression, it should move away from the 'surgical' care approach and fully embrace the MID approach. The chance for MID to be successful is thought to be increased tremendously if dental caries is not considered an infectious but instead a behavioural disease with a bacterial component. Controlling the two main carious lesion development related behaviours, i.e. intake and frequency of fermentable sugars, to not more than five times daily and removing/disturbing dental plaque from all tooth surfaces using an effective fluoridated toothpaste twice daily, are the ingredients for reducing the burden of dental caries in many communities in the world. FDI's policy of reducing the need for restorative therapy by placing an even greater emphasis on caries prevention than is currently done, is therefore, worth pursuing.

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  • Conventional surgical approaches involving removal of carious tissue can endanger the pulp vitality in primary teeth as a result of the thin enamel and dentine and relatively large pulp chambers.

    “On the other hand, conventional surgical approaches involving removal of carious tissue can endanger the pulp vitality in primary teeth as a result of the thin enamel and dentine and relatively large pulp chambers.”

    From Hall technique for primary teeth: A systematic review and meta-analysis (2022) · cites this paper as [4]

    In the Introduction’s ‘Rationale of the MID philosophy’ (page unavailable), the review says rotating burs tend to over-prepare cavities and that removing existing restorations may cause a pulp reaction. It also says pulp degeneration is faster in deciduous than permanent teeth. It does not attribute a risk to pulp vitality during conventional caries removal specifically to thin enamel and dentine or relatively large pulp chambers in primary teeth. (LLM, conf=0.82)

    Experimental — accuracy not yet measured

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Authors
Frencken, J. E., Peters, M. C., Manton, D. J., Leal, S. C., Gordan, V. V., & Eden, E.
Affiliations
  • Radboud University Medical Center (NL)
  • University of Michigan (US)
  • The University of Melbourne (AU)
  • Universidade de Brasília (BR)
  • University of Florida Health (US)
  • Ege University (TR)
Corresponding author
Frencken, Jo E.
ORCID
Venue
International Dental Journal
Publisher
Elsevier BV
Published
2012-10
Volume
62
Issue
5
Pages
223-243
ISSN
0020-6539 (ISSN-L)
DOI
10.1111/idj.12007
PMC
PMC3490231
OpenAlex
W2160111786
Cited by
531
References
5
Citations by year
2026: 50 · 2025: 41 · 2024: 39 · 2023: 58 · 2022: 49 · 2021: 50 · 2020: 59 · 2019: 33 · 2018: 29 · 2017: 30 · 2016: 23 · 2015: 27 · 2014: 31 · 2013: 11
FWCI
4.40
Type
journal article
Language
en
Open access
Licence
Locations
  • International Dental Journal (publishedVersion)
  • Europe PMC (PubMed Central) (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
  • Deep Blue (University of Michigan) (submittedVersion)
  • Radboud Repository (Radboud University) (submittedVersion)
  • University of Groningen research database (University of Groningen / Centre for Information Technology) (submittedVersion)
Funders
  • National Institutes of Health (DE-22516, DE-16746)
  • National Institute of Dental and Craniofacial Research (U01-DE-16746, U01DE016746, U19-DE-22516, U01‐DE‐16747, U01DE016747, U19DE022516)
Topics
  • Health Sciences › Dentistry › Periodontics › Dental Health and Care Utilization
  • Health Sciences › Dentistry › Orthodontics › Dental materials and restorations
  • Health Sciences › Dentistry › Periodontics › Oral microbiology and periodontitis research
Keywords
minimal intervention dentistry, dental caries, caries detection, dental caries prevention, restorative treatment, fermentable sugars, plaque control, fluoride toothpaste
MeSH terms
Dental Caries, Education, Dental, Humans, Tooth Remineralization, Risk Assessment, Early Diagnosis, Dental Atraumatic Restorative Treatment, Dental Restoration Repair

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